Individual provider Active NPI

Jason Loren Whitney, ARNP FNP-C

  • Family Nurse Practitioner
  • Packwood, WA
National Provider Identifier
1285274167
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61034006 Issued in WA
Practice address
13051 US Hwy 12
Ste 2
Packwood, WA 98361
Phone
(360) 496-3777
NPI assigned
Jan 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61034006 WA Primary

Addresses

Primary practice location

13051 US Hwy 12
Ste 2
Packwood, WA 98361

Mailing address

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2385

Other identifiers 1

IdentifierTypeStateIssuer
AP61034006MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jasonwhitney@myarborhealth.cernerdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200306000915 WA Practitioner - Nurse Practitioner 6406282292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis County Hospital District No 1Group PAC ID 6002727385, 27 clinicians

Practice addresses (Care Compare)

108 Kindle Rd
Randle, WA 98377-9209
Phone (360) 497-3333

13051 US Hwy 12
Suite 2
Packwood, WA 98361
Phone (360) 496-3777

521 Adams Ave
Morton, WA 98356-9323
Phone (360) 496-5112

531 Adams Ave
Morton, WA 98356-9323

Hospital & facility affiliations

  • Arbor Health Morton Hospital Hospital, Morton, WA, CCN 501319
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61034006WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Hospital District No 1 CurrentSince Apr 21, 2024 Accepting new patients
Lewis County Hospital District No 1 Current Accepting new patients
Lewis County Hospital District No. 1 Past Accepting new patients
Lewis County Hospital District No. 1 Past Accepting new patients

Locations

108 Kindle Rd
Randle, WA 98377
Phone (360) 497-3333

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1285274167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13051 US HWY 12",
            "address_2": "STE 2",
            "city": "PACKWOOD",
            "state": "WA",
            "postal_code": "98361",
            "telephone_number": "360-496-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "JASON",
        "middle_name": "LOREN",
        "credential": "ARNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61034006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP61034006",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasonwhitney@myarborhealth.cernerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13051 US Hwy 12",
            "address_2": "Ste 2",
            "city": "Packwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Packwood, WA

Sources for this page

Verify at the official NPI Registry.